NPI | 1164446571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 2208442) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-001639) |
363L00000X Nurse Practitioner (Licence: TX 1123902) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2024-05-01 |